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1063414639
LARISA V VENEZIA
EAST SETAUKET, NY
NPI
1063414639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 2307881)
Enumeration Date
2005-08-12
Last Update Date
2010-12-15
Business Address
Ms. LARISA V VENEZIA DO
46 ROUTE 25A SUITE 6
EAST SETAUKET, NY 11733
Phone number: 631-689-1444
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Mailing Address
Ms. LARISA V VENEZIA DO
46 ROUTE 25A SUITE 6
SETAUKET, NY 11733-2820
Phone number: 631-689-1444
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